MOUNTAIN VIEW FAMILY MEDICINE INC. NPI 1962666578

NPI Information

NPI: 1962666578
Provider Name: MOUNTAIN VIEW FAMILY MEDICINE INC.

Doing Business As: MOUNTAIN VIEW FAMILY MEDICINE INC.

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1309 PONDEROSA DR
SUITE 103
SANDPOINT, ID
ZIP 83864
Phone: (208) 263-9545
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MOUNTAIN VIEW FAMILY MEDICINE INC. is a health service clinic center in Sandpoint, ID. MOUNTAIN VIEW FAMILY MEDICINE INC. NPI is 1962666578. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountain View Family Medicine Inc..

The provider's business location address is:

1309 PONDEROSA DR
SUITE 103
SANDPOINT, ID
ZIP 83864-278
Phone: (208) 263-9545
Fax: (208) 263-9539

The provider's authorized official is Timothy Ray Bonine .
The authorized official title is Owner and has the following contact phone number (208) 263-9545.

The CLIA number assigned to this NPI record is 13D1083637 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2008 and was last updated on 10/30/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	M8424	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	806356200	MEDICAID	IDAHO
2	H-58611	MEDICARE UPIN	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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